Mulberry Street Management Services Inc.
Cost Outlier
Billing over 3× the national median for specific procedure codes.
This provider bills $288.95 per claim for T1019 (Personal care services, per 15 min), which is 3.5× the national median of $82.47.
Statistical flags are not proof of wrongdoing. Some entities (government agencies, home care programs) may legitimately bill at high rates. Hospitals, government entities, and large care organizations may legitimately bill at higher rates due to patient acuity, overhead costs, or specialized services. Read our methodology.
Red Flags Explained
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Each flag represents a statistical test that identified unusual billing patterns. Here's what each flag on this provider means in plain English:
Cost Outlier
Cost Outlier means this provider charges significantly more per claim than other providers billing the same procedure codes. This could indicate upcoding, inflated charges, or specialized services that justify higher costs.
These flags are statistical indicators only. Many flagged providers have legitimate explanations for their billing patterns. Learn more about our methodology.
Advanced Detection Signals
Additional statistical tests from advanced fraud detection methods
These signals use advanced statistical methods including digit distribution analysis, change-point detection, and market concentration metrics. Learn more.
Risk Assessment
Bills $288.95 per claim for T1019 (Personal care services, per 15 min) — 3.5× the national median of $82.47.
This is a statistical summary, not an accusation. See our methodology.
Compared to In Home Supportive Care Peers
Total spending distribution among 57 providers in this specialty
This provider's total spending of $175.6M is at the 75th percentile among 57 In Home Supportive Care providers.
Total Paid
$175.6M
$175,627,727
Total Claims
790K
Beneficiaries
322K
2.5 claims/patient
Avg Cost/Claim
$222
#556 of 618K providers by total spending(top <0.1%)
🔍 Analysis
Provider Overview
Mulberry Street Management Services Inc. is a In Home Supportive Care provider based in Morgantown, WV. From the 2018–2024 period, this provider received $175.6M in Medicaid payments across 790K claims.
Why This Matters
This provider received $175.6M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 21,953 Medicaid beneficiaries for a full year at average per-enrollee costs.
Monthly Spending Trend
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 3 distinct procedure codes. The top code (T1019 (Personal care services, per 15 min)) accounts for 97% of total spending.
$170.7M
591K claims
$288.95
$82.47
Personal care services, per 15 min
$170.7M
591K claims · 97.2%
RN services, per 15 minutes
$2.9M
182K claims · 1.7%
$2.0M
17K claims
$117.08
$49.05
Nursing assessment/evaluation, per visit
$2.0M
17K claims · 1.2%
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